Characterizing Resident Preferences for Faculty Involvement and Support in Disclosing Medical Errors to Patients

Journal of Graduate Medical Education
Narendra SinghLynfa Stroud

Abstract

Residents may be commonly involved with medical errors and need faculty support when disclosing these to patients. We characterized residents' preferences for faculty involvement and support during the error disclosure process. We surveyed residents from internal medicine, pediatrics, emergency medicine, general and orthopedic surgery, and obstetrics and gynecology residency programs at the University of Toronto in 2014-2015 about their preferences for faculty involvement across a variety of different error scenarios (ie, error type, severity, and proximity) and for elements of support they perceive to be most helpful during the disclosure process. Over 90% of the 192 respondents (N = 538, response rate 36%) wanted direct involvement in the error disclosure process, irrespective of type or severity of the error. Residents were relatively comfortable disclosing prescription and communication errors without direct faculty involvement but preferred faculty involvement when disclosing diagnostic and management errors. When errors were severe, many residents still wanted to be involved but preferred having faculty lead the disclosure. Residents particularly wanted to participate in the process when they felt responsible for the erro...Continue Reading

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Citations

Aug 30, 2018·Journal of Graduate Medical Education·Julia Vermylen, Gordon J Wood

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